The nurse is preparing to conduct a physical examination of a client's head and neck area. The client is paralyzed from the neck down. Which action by the nurse is appropriate when conducting the physical assessment of this area?

Question

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A)The client who is paralyzed from the neck down is not able to support his or her body. When considering positioning, the nurse should recognize that the client will require support during the procedure. Placing the client supine will not allow the nurse full view of the client during observation. This client would not be able to sit in an armless chair, which has no support. Sims position would not allow the nurse to observe the client adequately.
B)The client who is paralyzed from the neck down is not able to support his or her body. When considering positioning, the nurse should recognize that the client will require support during the procedure. Placing the client supine will not allow the nurse full view of the client during observation. This client would not be able to sit in an armless chair, which has no support. Sims position would not allow the nurse to observe the client adequately.
C)The client who is paralyzed from the neck down is not able to support his or her body. When considering positioning, the nurse should recognize that the client will require support during the procedure. Placing the client supine will not allow the nurse full view of the client during observation. This client would not be able to sit in an armless chair, which has no support. Sims position would not allow the nurse to observe the client adequately.
D)The client who is paralyzed from the neck down is not able to support his or her body. When considering positioning, the nurse should recognize that the client will require support during the procedure. Placing the client supine will not allow the nurse full view of the client during observation. This client would not be able to sit in an armless chair, which has no support. Sims position would not allow the nurse to observe the client adequately.

The Nurse Is Preparing to Conduct a Physical Examination of a Client's